Week 2 Discussion Sample Paper NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning Week 2 Discussion

Week 2 Discussion Sample Paper NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning Week 2 Discussion

Week 2 Discussion Sample Paper

NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning

Week 2 Discussion

Student’s Name:

Institutional Affiliation:

Case Scenario

At-risk 86-year-old Asian male who feels like a burden to his daughter, and is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. Patient has a history of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis, and S/P cholecystectomy. Current Medications: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.

Introduction

The US population is composed of different ethnic groups which require the health care practitioners to be aware, sensitive and competent with the patient diversity (Betancourt et al. 2016). A health care provider who is culturally competent understands the unique needs of patients from different backgrounds

Cultural Factors

The fact that the man depends on his daughter physically and financially and that the daughter is a single mother shows that the man is from a low economic background.  This man has language problems. He is not fluent in English. A large percentage of the population of Asian people living in the United States has language difficulties. The language difficulties may lead to the wrong diagnosis of the disease. This man is also from an ethnic minority. According to Ball, et al. (2014), Asians and Pacific Islanders are the fastest growing ethnic minorities in the United States. Also, it is possible that the man uses traditional medicine and seeks medical help if conventional medicine fails to work.  Most of the Asians trust traditional medicine.

Issues to be Sensitive About

While speaking with the patient, I would be slow and polite because most of the older people take time to process information and give a reply. I would also consider having an interpreter to help in case he does not understand my language or I do not understand his.  Avoiding jargon would enhance patient compliance (Bing-Jonsson et al. 2016). I would also avoid a firm gaze since it might seem rude.

Questions that I would ask to assess his Health Risks

• How many meals do you take in a day?
• Is there anyone who helps you with your medication?
• Have you ever used any traditional medicine for your treatment?
• Do you have any friends or relatives or a social group who you can talk to when depressed?
• Is there a charity organisation or a social group that helps you with basic needs such as food?

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2014). Cultural competency. Seidel’s guide to a physical examination, 8th edn. Amsterdam: Elsevier, 21-9.